Uretzky G, Freund H, Charuzi I, Luttwak E M
Eur Urol. 1978;4(2):97-9. doi: 10.1159/000473921.
3 cases of adrenal cysts are reported. The incidence of cyst originating in the adrenal gland was found to be 0.02-0.06% in autopsies. Adrenal cysts are usually symptomless making the diagnosis difficult. The cases described here were diagnosed and removed at operation. One of them was associated with hypertension, and another with pregnancy, considered to be exceptional. Two of these cysts were calcified. All of them were benign. The definite preoperative diagnosis is difficult and the surgical procedure recommended is resection of the cyst with preservation of as much adrenal tissue as possible if malignancy is excluded by frozen section. Since the number of operated cases diagnosed preoperatively are too small, the possibility of treating adrenal cyst by percutaneous aspiration and injection of opaque material to eventually avoid surgery could not be established.
报告了3例肾上腺囊肿。尸检发现肾上腺囊肿的发生率为0.02 - 0.06%。肾上腺囊肿通常无症状，这使得诊断困难。这里描述的病例在手术中被诊断并切除。其中1例与高血压有关，另一例与妊娠有关，被认为是例外情况。这些囊肿中有2例发生了钙化。所有囊肿均为良性。术前明确诊断困难，如果冰冻切片排除恶性肿瘤，推荐的手术方法是切除囊肿并尽可能保留肾上腺组织。由于术前诊断后接受手术的病例数量过少，经皮穿刺抽吸并注入不透光材料最终避免手术治疗肾上腺囊肿的可能性无法确定。
